Individual
SARAH COLLEEN FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 LAKE AVE, STORM LAKE, IA 50588-2055
(712) 732-0005
(712) 732-8402
Mailing address
800 LAKE AVE, STORM LAKE, IA 50588-2055
(712) 732-0005
(712) 732-8402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
122598
MN
183500000X
Pharmacist
Primary
22148
IA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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